In November, the OIG released a report assessing the impact of changes that were implemented seven years ago, specifically changes applying to the ALJ level. OIG analyzed all of the ALJ-decided appeals in fiscal year (FY) 2010, including interviews with ALJs and Qualified Independent Contractors (QIC), a review of policies and procedures, and data on CMS participation during this level of appeal.
By now, all long-term care (LTC) facilities are well aware of the deadline for ICD-10 coding. In August, the Department of Health and Human Services approved a one-year extension, giving providers until October 1, 2014. Learn how early coordination with your facility's billing service will help your facility meet the deadline.
CMS released three important transmittals in October detailing regulatory changes and clarifications-based on change request 8044-that could have a significant impact on skilled coverage, billing procedures, and claims processing in SNFs leading up to the April 1 implementation date.